Mariah Rene McManis, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-64284 Issued in MT

Practice address

2504 W Main St Ste 2F
Bozeman, MT 59718-3966

Phone

(406) 595-3822

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Mariah Rene McManis Professional name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1902394927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE 2C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184073",
            "telephone_number": "406-595-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 W MAIN ST STE 2F",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183966",
            "telephone_number": "406-595-3822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597187048",
            "country_code": "US",
            "telephone_number": "406-600-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "MARIAH",
        "middle_name": "RENE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "24106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "BBH-SWLC-LIC-24106",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-64284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theravadatherapy59718@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2504 W Main St Ste 2C",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597184073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theravadatherapy59718@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2504 W Main St Ste 2F",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597183966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kristy.44@live.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2504 W Main St Ste 2F",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597183966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theravadatherapy59718@gmail.com",
            "affiliation": "N",
            "endpointDescription": "theravadatherapy59718@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2504 W Main St Ste 2F",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597183966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "MCMANIS",
            "middle_name": "RENE",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michele Catherine McKinnie, PSY.D.
• Alakhi Joy McLain, LM, CPM
• David I McLaughlin, MD
• Mikayla Joy McLaughlin, DMD
• Julie Renee McLendon, LMFT
• Candace McMann, LCPC
• Mary Bethany McMaster, M.D.
• Robert Joseph McMickle, MD
• Colleen Rose McMilin, PHD, MPH, RD, LN
• Andrew McNair, PA-C

• All providers in Bozeman, MT
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.